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Actual Clinic Visits in HIV-Positive Patients : Visits to a Medical Institution for Treatment of HIV and Visits to a General
Medical Institution for Primary Care
Rikuya Hosokawa1), Yoji Inoue
2), Taisuke Togari2), Sakurako Abe
3), Takashi Yajima4, 5), Takashi Itagaki
6), Sachiko Oki7), Naoko Katakura
8), Chihiro Wakabayashi9),
Asae Yamauchi10) and Yousuke Takaku
4)
1) Nagoya City University, 2) The Open University of Japan, 3) TIS Inc,4) Japanese Network of People Living with HIV/AIDS, 5) PLACE TOKYO,
6) Accelight Inc, 7) Kyorin University, 8) Kobe City College of Nursing,9) Saitama Prefectural University, 10) School of Nursing, Tokyo Medical University
Objective : This study aims to determine the actual circumstances of medical institution visits for treatment of human immunodeficiency virus (HIV) and general medical institution visits (not for treatment of HIV ; hereinafter called primary care clinic) in HIV-positive patients. Methods : In HIV-positive patients throughout Japan, an anonymous self-report questionnaire survey (HIV Futures Japan Project) was conducted between July 2013 and February 2014. Responses were obtained from 1,095 patients. A total of 913 patients, excluding invalid responses and expatriates, were included in the analysis. Results : The patients who visited no medical institution for HIV treatment (hereinafter called patients who withdrew/never received treatment for HIV) accounted for 3.5% of the total. They were characterized by the following : male, in their twenties, lived alone, had nobody to turn to about their concerns, and were informed of their HIV-positive results by the public health center. The patients who did not have a primary care clinic accounted for approximately 60% of the total. At least half of these patients had no clinic where they might visit, although they required clinic visits. On the other hand, the patients who had a primary care clinic accounted for approximately 40% of the total. However, half of these patients did not inform the clinic of their HIV-positive results. In addition, the patients who had no clinic to visit in spite of their needs and those who did not inform their primary care clinics of their HIV-positive results tended to have higher HIV-related stigmata. Conclusion : These results indicated risk factors of patients who withdrew/never received treatment for HIV and suggested that HIV-related stigmata might have a negative influence on their behavior regarding primary care clinic visitation.
Key words : HIV, defaulting, never treated, primary care, HIV-related stigma
R Hosokawa et al : Actual Clinic Visits in HIV-Positive Patients